Charles L. Stimpson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD15929 Issued in TN

Practice address

1701 N Main St
Suite D
Shelbyville, TN 37160-2303

Phone

(931) 685-4060

Fax

(931) 685-4062

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles R Tessier DO PC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1558786665
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1780654285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "address_2": "SUITE D",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602303",
            "telephone_number": "931-685-4060",
            "fax_number": "931-685-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "address_2": "SUITE D",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602303",
            "telephone_number": "931-685-4060",
            "fax_number": "931-685-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMPSON",
        "first_name": "CHARLES",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD15929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008490",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Stapleton, FNP
• State of Tennessee
• Stellar Inc
• Joshua Rion Stepanov
• Shannon Stewart
• Sharon L Stocking, MD
• Kaycee Barnes Sullivan, MED
• Swan Urogynecology PC
• Eric S Swanson, PHARMACIST
• John Vance Sweeney, PHARM. D

• Family Medicine Physician in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.